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    Understanding Hernia and Hernia Mesh

    What is a Hernia?

    A hernia is a a hole in the muscular abdominal wall. The tissue inside of the abdomen protrudes through the muscles of the abdominal wall which can cause significant discomfort or pain. There is also a risk of the intestine becoming caught (incarcerated in the abdominal wall hole or defect. This can lead to an emergency obstruction of the bowel or strangulation of the contents within the hernia.

    A hernia can occur in many different locations in the muscular abdominal wall. The most common types of hernias are below.

    • Inguinal
    • Femoral
    • Umbilical
    • Epigastric
    • Incisional
    • Ventral Incisional

    Surgical techniques used to repair hernias with mesh

    Fundamentally, there are three different techniques for repairing hernia with mesh. The method chosen by the surgeon typically depends on the particular condition of the patient undergoing hernia surgery. The following are the standard surgical techniques used in hernia mesh surgeries.

    The Transabdominal pre-peritoneal or TAPP Technique

    In this technique, the surgeons enter the peritoneum, i.e. the thin inner most membrane of the abdominal wall. They then place the surgical mesh in the appropriate layer of the abdominal wall with a small incision, so that it does not come in contact with the internal organs.

    The Totally Extra-peritoneal or TEP Technique

    The TEP surgery is typically more complicated to perform than the TAPP surgery, but it also involves the use of surgical mesh. Surgeons usually opt for this procedure because it results in fewer complications as compared to TAPP surgery.

    The Intraperitoneal On-lay Mesh Technique or IPOM Technique

    In this technique, the surgeon enters the peritoneal cavity in order to implant a mesh on the inside of the peritoneum. The implanted surgical mesh comes in contact with the intestines and the other organs. This is typically much easier and faster to perform as compared to both, TAPP and TEP.

    Advantages of using Dolphin Mesh in Hernia Repair

    Using Dolphin mesh for hernia repairs significantly decreases the risk of the hernia coming back (recurrence). -Dolphin Mesh provides long-term tissue support and extra space for tissue growth -The large pores in the Mesh allow faster and better soft tissue ingrowth, ensure seroma drainage and lesser foreign body reaction -Multiple sizing options to meet the surgeon’s demand and patient’s need.

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